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Case of the Month Archive
June, 2009 - Unknown Case of the Month #103 - A 47-year-old female presented with shortness of breath and a history of prior deep vein thrombosis. A CT scan of the chest was performed to rule out pulmonary embolus, selected images of which are shown.
May, 2009 - Unknown Case of the Month #102 - A 45-year-old male with previously treated lymphoma underwent a PET/CT scan for routine surveillance. Selected images are shown.
April, 2009 - Unknown Case of the Month #101 - An 11-year-old male presented to the emergency department following a motor vehicle accident. Selected images from an abdominal CT scan are shown.
March, 2009 - Unknown Case of the Month #100 - A 12-week-old female with respiratory symptoms had a chest x-ray and CT scan of the chest, selected images of which are shown.
February, 2009 - Unknown Case of the Month #99 - A 64-year-old male presented with cough and dysphagia. Selected images from a CT scan of the chest are shown.
January, 2009 - Unknown Case of the Month #98 - A 79-year-old male with nonspecific upper abdominal pain underwent an MRI/MRCP, selected images of which are shown.
December, 2008 - Unknown Case of the Month #97 - A 32-year-old female presented with abdominal pain and had a CT scan. Selected images from a CT scan of the abdomen are shown.
November, 2008 - Unknown Case of the Month #96 - A 16-year-old male present with headache and had a noncontrast CT scan and subsequently a MRI study, selected images (Sag T1, Ax T1, Ax T2 Flair, Ax T1C, Cor T1C, Sag T1C, and 2D TOF MRV) of which are shown.
October, 2008 - Unknown Case of the Month #95 - A 65-year-old male with a history of smoking presented with difficulty swallowing and had an esophogram. Spot films and overhead radiographs are shown.
September, 2008 - Unknown Case of the Month #94 - An 11-month old female presents with abdominal distension and an outside CT scan of the abdomen, selected images of which are shown.
August, 2008 - Unknown Case of the Month #93 - A 10-year-old female with a history of an abrupt onset of abdominal pain and had a CT scan and ultrasound examinations of the pelvis, selected images of which are shown.
July, 2008 - Unknown Case of the Month #92 - An 84-year-old female presented with a change in mental status and a MRI study of the brain was performed, selected images (axial T1, T2, and T1+C along with T1+C coronal and sagittal images) of which are shown.
June, 2008 - Unknown Case of the Month #91 - A 34-year-old female with a positive pregnancy test presented with right lower quadrant pain and had an US of the pelvis, selected images of which are shown.
May, 2008 - Unknown Case of the Month #90 - A 28 year-old male with periumbilical fullness, nausea, and vomiting had a CT, selected images of which are shown.
April, 2008 - Unknown Case of the Month #89 - A 32-year-old female presents with fever and cough and had PA and lateral chest radiographs and a CT scan, selected images of which are shown.
March, 2008 - Unknown Case of the Month #88 - An 80-year-old female with hypertension underwent a MIBG scan, selected images of which are shown.
Febuary, 2008 - Unknown Case of the Month #87 - A 27-year-old male with embryonal cell cancer of the testicle presented with weakness in his lower extremities. A MRI study was performed, selected images of which are shown.
January, 2008 - Unknown Case of the Month #86 - A 52-year-old male with a severe crush injury had a MAG-3 renogram.
December, 2007 - Unknown Case of the Month #85 - A 7-week-old male with neonatal jaundice underwent a hepatobiliary scan, selected images of which are shown.
November, 2007 - Unknown Case of the Month #84 - A 55-year-old male with abdominal pain had a CT scan of the abdomen, selected images of which are shown.
October, 2007 - Unknown Case of the Month #83 - A 35-year-old female presented with shortness of breath and had a chest x-ray and a CT scan of the chest, selected images of which are shown.
September, 2007 - Unknown Case of the Month #82 - A 37-year-old female with recurrent flank pain had non-contrast CT scan, followed by a repeat non-contrast and contrast CTs, performed one week later, selected images of which are shown.
August, 2007 - Unknown Case of the Month #81 - A 53-year-old male with a chronic cough had a chest x-ray and CT scan selected images of which are shown.
July, 2007 - Unknown Case of the Month #80 - A 67-year-old male had two PET scans performed six weeks apart. Whole body MIP images are shown.
June, 2007 - Unknown Case of the Month #79 - A 62-year-old female was found unresponsive on the floor and a CT scan of the brain was performed.
May, 2007 - Unknown Case of the Month #78 - A 46-year-old male presented with sudden abdominal pain. A CT scan of the abdomen was performed, selected images of which are shown.
April, 2007 - Unknown Case of the Month #77 - A 53-year-old male with a history of thymic cancer presented with abdominal pain and had a CT scan of the abdomen, selected images of which are shown.
March, 2007 - Unknown Case of the Month #76 - A 64-year-old male with right lower quadrant pain had a CT scan of the abdomen and pelvis, selected images of which are shown.
February, 2007 - Unknown Case of the Month #75 - A 67-year-old female had a Whipple procedure for pancreatic cancer and later presented with abdominal pain. Selected images from a follow-up CT scan are shown.
January, 2007 - Unknown Case of the Month #74 - An 81-year-old female with a history of trauma, lethargy, shortness of breath and a history of severe contrast allergy had a non-contrast CT of the chest.   
December, 2006 - Unknown Case of the Month #73 - A 49-year-old male with renal failure and non-Hodgkin’s lymphoma treated with chemotherapy. A PA chest x-ray and accompanying CT scan are shown along with similar follow-up studies performed seven months later.   
November, 2006 - Unknown Case of the Month #72 - A 7 year old male presented with persistent hematuria (confirmed at cystoscopy) and had a CT scan of the abdomen and pelvis, selected images of which are shown.
October, 2006 - Unknown Case of the Month #71 - A 17-year-old male had prior trauma and underwent a CTA of the abdomen, selected images of which are shown.
September, 2006 - Unknown Case of the Month #70 - A 46-year-old male with nonspecific back pain had a bone scan, selected images of which are shown.
August, 2006 - Unknown Case of the Month #69 - A 73-year-old male presented with a headache. FLARE, T2 and post-contrast T1 studies from an MRI study of the brain are shown.
July, 2006 - Unknown Case of the Month #68 - A 63-year-old male with a history of a prior traumatic hemothorax had a follow-up CT scan of the chest, selected images of which are shown.
June, 2006 - Unknown Case of the Month #67 - A 46-year-old male presented with left flank pain and had a noncontrast CT scan of the abdomen, selected images of which are shown.
May, 2006 - Unknown Case of the Month #66 - A 12-year-old male with a history of abdominal pain and mental retardation had a CT scan of the pelvis, selected images of which are shown.
April, 2006 - Unknown Case of the Month #65 - A 52-year-old male presented with painless neck swelling. Initial and follow-up whole body PET scans are shown.
March, 2006 - Unknown Case of the Month #64 - A 5-year-old male presented with difficulty swallowing of three days duration. Selected films from a barium swallow are shown.
February, 2006 - Unknown Case of the Month #63 - A 67-year-old male presented with intense abdominal pain and a palpable mass. A CT scan of the abdomen was done, selected images of which are shown.
January, 2006 - Unknown Case of the Month #62 - A 70-year-old female presented with a large mediastinal mass on an outside chest-xray and a history of a prior sternotomy for aortic valve replacement. A CT scan of the chest was performed, selected images of which are shown.
December, 2005 - Unknown Case of the Month #61 - A 56-year-old male had a CT scan to evaluate a suspected pulmonary nodule, selected images of which are shown.
November, 2005 - Unknown Case of the Month #60 - A 79-year-old male presented with abdominal pain and had a CT scan of the abdomen, selected images of which are shown.
October, 2005 - Unknown Case of the Month #59 - A 25-year-old male with a history of intravenous drug abuse presented with left buttock pain and had a CT scan of the pelvis, selected images of which are shown.
September, 2005 - Unknown Case of the Month #58 - A 70-year-old female presented with an outside CT scan showing a solid lesion in the right lobe of the liver (along with an incidental cyst). Selected CT images of the right lobe of the liver are shown.
August 2005 - Unknown Case of the Month #57 - A 55-year-old male presented with anemia presented with numbness and tingling in his hands and feet, with progression to the mid-thoracic level. A MRI of the spine was performed, selected images of which are shown.
July 2005 - Unknown Case of the Month #56 - A 15-year-old female presented with abdominal pain following cystoscopy. A CT scan of the abdomen and pelvis was done, selected images of which are shown.
June, 2005 - Unknown Case of the Month #55 - Selected images are shown from CT scan of the abdomen (with and without contrast) and a MRI study (T1 and T2 axial images) of a 56-year-old male with abdominal pain.
May, 2005 - Unknown Case of the Month #54 - A 14-year-old female with primary amenorrhea presented with abdominal pain. Selected images from a CT scan of the abdomen and pelvis are shown.
April, 2005 - Unknown Case of the Month #53 - A 62-year-old female with pancreatic cancer presents with pelvic pain and had a CT scan of the abdomen and pelvis, selected images of which are shown.
March, 2005 - Unknown Case of the Month #52 - You are shown an outside MRI of the brain on a 7-month old male, selected images of which are shown.
February, 2005 - Unknown Case of the Month #51 - A 71-year-old female presented with intense abdominal pain. Selected images from an abdominal CT scan are shown.
January, 2005 - Unknown Case of the Month #50 - A 46-year-old male had a CT scan of the abdomen, selected images of which are shown.
December, 2004 - Unknown Case of the Month #49 - A 72-year-old male with a history of a surgery (total cycstectomy and creation of an ileal conduit) five months earlier presented with abdominal pain and had two abdominal CT scans obtained eight hours apart. Selected images of which are shown (earlier study on top).
November, 2004 - Unknown Case of the Month #48 - A 34-year-old female presented with a history of diarrhea and recent abdominal pain. Selected images from a small bowel series are shown.
October, 2004 - Unknown Case of the Month #47 - A 44-year-old male presented with right lower-quadrant pain.  Selected images from an abdominal CT scan are shown.
September, 2004 - Unknown Case of the Month #46 - An 81-year-old male presented with chest pain.  Selected images from chest CT scan are shown.
August, 2004 - Unknown Case of the Month #45 - A 39-year-old male presented with sudden onset of focal left lower quadrant pain.  Selected images from an abdominal CT scan are shown.
July, 2004 - Unknown Case of the Month #44 - A 35-year-old male with a history of dyspnea presented to the Emergency Department. A PA and lateral chest x-ray are shown.
June, 2004 - Unknown Case of the Month #43 - Selected axial images from an outside CT scan are shown. No additional clinical information is provided.
May, 2004 - Unknown Case of the Month #42 - An 11-year-old male presented with several days of vomiting and abdominal pain. A chest x-ray and selected images from a CT scan of the abdomen are shown.
April, 2004 - Unknown Case of the Month #41 - A 71-year-old male presented an outside CT scan of the abdomen, reported as showing an “abdominal mass”. Selected images are shown?
March, 2004 - Unknown Case of the Month #40 - A 14-year-old male presented with prior bout of staphylococcus. Selected images from a gallium scan and CT scan of the chest are shown.
February, 2004 - Unknown Case of the Month #39 - An 87-year-old male had a chest x-ray showing bilateral effusions and infiltrates. Selected images from a CT scan of the chest are shown.
January, 2004 - Unknown Case of the Month #38 - A 44-year-old female presented with fever and abdominal pain. Selected images from a CT scan of the pelvis are shown.
December, 2003 - Unknown Case of the Month #37 - A 49-year-old male presented with sequential blindness involving the left and then the right eye following trauma. Selected axial and coronal images from a CT scan of the orbits are shown.
November, 2003 - Unknown Case of the Month #36 - A 56-year-old female presented with right upper quadrant abdominal pain and hypoglycemia. Selected images from a CT scan of the abdomen are shown.
October, 2003 - Unknown Case of the Month #35 - A 41-year-old female presented with abdominal pain and a clinical suspicion of an intestinal obstruction. Selected images from a CT scan and T1 & T2 weighted MRI studies of the abdomen are shown.
September, 2003 - Unknown Case of the Month #34 - A 56-year-old Asian female presented to the ER with abdominal pain. Selected images from a CT scan of the abdomen and pelvis are shown.
August, 2003 - Unknown Case of the Month #33 - A 39-year-old female presented with fever and abdominal pain. Selected images from a CT scan of the abdomen are shown.
July, 2003 - Unknown Case of the Month #32 - A 41-year-old female presented with sudden onset intense abdominal pain. Selected cuts from an abdominal CT scan are shown.
June, 2003 - Unknown Case of the Month #31 - A 52-year-old male was discovered on routine blood screening to have asymptomatic hypercalcemia and subsequently an elevated parathormone. A dual-phase Sestamibi scan is shown.
May, 2003 - Unknown Case of the Month #30 - A 59-year-old male with no prior complaints presented with abdominal pain. Selected cuts from an abdominal CT scan are shown.
April, 2003 - Unknown Case of the Month #29 - A 41-year-old male presented with sudden onset of intense abdominal pain. Selected cuts from an abdominal CT scan are shown. What is this patient's chronic condition and how has it been treated? What is the cause of his current abdominal pain?
March, 2003 - Unknown Case of the Month #28 - An 86-year-old female presented with bilateral diffuse chronic pulmonary infiltrates. Selected images from a CT scan of the chest are shown.
February, 2003 - Unknown Case of the Month #27 - A 29-year-old female with an abnormal triple screen underwent a prenatal ultrasound (selected images of the placenta, fetus, and both ovaries are shown) in conjunction with a scheduled amniocentesis. A report from an outside ultrasound study performed seven weeks earlier reported a normal ten-week intrauterine gestation.
January, 2003 - Unknown Case of the Month #26 - A 52-year-old female presented with nausea, vomiting, and abdominal pain. Selected images from a CT scan of the abdomen are shown.
December, 2002 - Unknown Case of the Month #25 - A 40-year-old female presented with increased appetite, weight loss, perspiration, and palpitations. Physical examination revealed no palpable neck masses or tenderness. A serum thyroid profile and an I-123 thyroid scan are shown.
November, 2002 - Unknown Case of the Month #24 - A 75-year-old diabetic female presented with fever, an elevated ESR, and pelvic pain. A CT scan of the abdomen and pelvic was obtained to search for an occult inflammatory focus. Selected images are shown.
October, 2002 - Unknown Case of the Month #23 - A 35-year-old female presented with back pain and a bone scan was performed. What are your diagnoses (there are three significant findings)?
September, 2002 - Unknown Case of the Month #22 - A 24-year-old female presented to the Emergency Department with a sudden onset of severe abdominal pain and a CT scan of the abdomen was performed. Selected images are shown.
August, 2002 - Unknown Case of the Month #21 - A 35-year-old male presented with shortness of breath and chest pain. PA and lateral films of the chest are shown.
July, 2002 - Unknown Case of the Month #20 - A 33-year-old asymptomatic female had a pre-employment chest x-ray and subsequently a CT scan. Selected images are shown.
June, 2002 - Unknown Case of the Month #19 - A 29-year-old multipara female presented 5 days post partum with fever, shortness of breath and abdominal pain. The patient had history of repeated urinary tract infections and was on appropriate antibiotic coverage for a recently documented infection at the time of admission. An initial fever of 38 C quickly subsided; however, her white blood cell count continued to climb to 25,000 and peritonitis was suspected. Selected images from an abdominal and pelvic CT scan are shown.
May, 2002 - Unknown Case of the Month #18 - A 45-year-old female presented to the Emergency Department with a headache. Images of the base of the brain from a non-contrast CT scan were unremarkable.
April, 2002 - Unknown Case of the Month #17 - A 7-year-old female presents with pain in the left lower extremity of three month's duration. Radiographs of the left tibia and fibula are shown.
March, 2002 - Unknown Case of the Month # 16 - A cardiologist requests a consultation a cardiac MRI performed at an outside institution on a 17-year-old female. Selected T1 spin echo images are shown.
February, 2002 - Unknown Case of the Month #15 - A newborn male presented with failure to thrive. Selected images from a CT scan of the abdomen with contrast and a real time sonogram without and with color flow Doppler imaging are shown.
January, 2002 - Unknown Case of the Month #14 - A 59-year-old male presented with abdominal pain.  Selected images from a CT scan of the abdomen are shown.
December, 2001 - Unknown Case of the Month #13 - A 38-year-old male presented with back pain and a history of diabetes insipidus.  Selected images from a CT scan of the abdomen and a MRI study of the base of the brain (spin echo T1 images before and after contrast) are shown.
November, 2001 - Unknown Case of the Month #12 - A 35-year-old female presented with left lower quadrant pain, rule/out diverticulitis.  Selected images from a pelvic CT are shown.
October, 2001 - Unknown Case of the Month #11 - A 55-year-old female with a history of "arthritis" presented with pain in her right lower extremity and a bone scan was performed.
September, 2001 - Unknown Case of the Month #10 - An 83-year-old male in the ICU, presented with hemoptysis. A chest x-ray showed bilateral effusions and left lower lobe atelectasis. A spiral CT scan of the chest with intravenous contrast was performed.
August, 2001 - Unknown Case of the Month #9 - A 39-year-old female was admitted to the hospital with cough and a history of lung "masses".  PA and Lateral chest x-rays are shown along with selected CT scans.
July, 2001 - Unknown Case of the Month #8 - A 46-year-old female underwent an upper gastrointestinal series and small bowel study for vague abdominal pain.  A selected radiograph from these studies is shown.
June, 2001 - Unknown Case of the Month #7 - A 48-year-old female with a history of breast cancer had a bone scan and plain radiographs.  Selected images are shown.
May, 2001 - Unknown Case of the Month #6 - A 52-year-old female presented with progressive epigastric abdominal pain.  Past history revealed prior surgical removal of a "large cystic mass".  Images from her ultrasound, spin echo MRI, and CT scan studies of the abdomen are shown.
April, 2001 - Unknown Case of the Month #5 - A 79-year-old female had a recent mammogram showing suspicious calcifications in the upper outer quadrant of the left breast.  Biopsy revealed poorly differentiated, high-grade comedo-type DCIS in a palpable 1.1cm mass.  She had a remote history of right breast cancer in 1966.   Right shoulder x-rays, a bone scan, and a CT scan of the chest abdomen and pelvis were performed.
March, 2001 - Unknown Case of the Month #4 - A 70-year-old female was admitted to the hospital with increasing fevers and a long history of fever of unknown origin with repeatedly negative blood cultures.  Selected CT scans of the abdomen are shown.
February, 2001 - Unknown Case of the Month #3 - An 11-year-old male with abdominal pain, hematochezia, and anemia (Hb = 4.5), was admitted to the hospital.   Endoscopy and a gastrointestinal bleeding scan were unremarkable.  Selected films from an upper gastrointestinal series and a CT scan of the abdomen are shown.
January, 2001 - Unknown Case of the Month #2 - A 33-year-old female with a chronic respiratory abnormality and multiple documented allergies was admitted to the hospital with bronchospasm, fever and an abnormal chest x-ray.  The admission PA and lateral chest x-rays are shown.
December, 2000 - Unknown Case of the Month #1 - A 17-year-old male presents to the Emergency Department with cough, fever, and a sore throat. Selected CT scans of the chest and neck are shown.